DIVISION OF BUSINESS OPPORTUNITIES AND ACCESS TO CAPITAL
REQUEST FORM
SEARCH FOR CERTIFIED BUSINESS ENTERPRISE (CBE) FIRMS
Instructions: Use this form if you need to a) fulfill a 35% CBE utilization requirement for a given project or b) your company
desires to inform CBE firms about projects, programs, or services for advancing their business opportunities and/or access to
capital.
Requests may take up to 24−72 hours depending on the desired scope of work categories needed.
1. Date of Request:
2. Requestor Information (Check the option that is applicable and provide the name of the entity
District Government Agency Requesting Information (if applicable):
Division/Department requesting Information (if applicable):
Development Company or Prime Contractor (if applicable):
3. Does this request involve a CBE Agreement with DSLBD?(Check one)
Yes
No
4.
Does this request involve a private sector or federal government business opportunity that does not involve a CBE
Agreement? (Check one)
Yes
No
5. Name and Position of Person Requesting Information:
6. Phone: Email:
7. Project Title:
8. Brief Description of Scope of Work Desired) (e.g. Construction, Masonry, Electrician, or Business Consulting):
Information needed by: Date (MM/DD/YY) and Time (AM/ PM)
ADDITIONAL COMMENTS:
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STAFF USE ONLY:
Date/ Time Form Received
By BOAC Staff:
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